Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BONNER, PAUL

NPI: 1407010457 · WICHITA FALLS, TX 76308 · Dentist · NPI assigned 07/17/2008

$3K
Total Medicaid Paid
186
Total Claims
185
Beneficiaries
6
Codes Billed
2021-06
First Month
2022-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 78 $1K
2022 108 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 44 44 $1K
D1206 Topical application of fluoride varnish 49 49 $720.30
D1120 Prophylaxis - child 16 16 $588.00
D0220 Intraoral - periapical first radiographic image 29 29 $364.24
D0230 Intraoral - periapical each additional radiographic image 27 27 $310.77
D0603 21 20 $0.00